2020 Medicare Advantage Member Guidebook - Health First

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2020 Medicare Advantage Member Guidebook - Health First
Providing you with the best
health plan possible

 2020 Medicare Advantage Member Guidebook
Helpful contact information and online resources
This guidebook contains valuable information about your health plan, and we hope you will use it as a resource
through 2020. If you have any questions or need assistance, please contact Customer Service.
By phone                                                   In person
Contact Customer Service 321.408.5289                      Walk-in service hours are Monday through Friday,
(TDD/TTY relay: 1.800.955.8771)                            from 8 a.m. to 5 p.m., no appointment needed.
Hours: Weekdays, 8 a.m. to 8 p.m., and Saturdays from      6450 U.S. Highway 1
8 a.m. to noon. From October 1 to March 31, we’re          Rockledge, FL 32955
available seven days a week from 8 a.m. to 8 p.m.

Visit our website at: myHFHP.org
Please see instruction inside on how to access our secure online member portal.
2020 Medicare Advantage Member Guidebook - Health First
At a Glance
Thank you for choosing Health First Health Plans. To help provide you with the
best health plan possible, this packet includes:

                        How to request an ID card, pay your premiums,
    Plan Information
                        check claim statuses and more

                        Fitness benefit information and how to earn a $50 gift card
                        for completing a Comprehensive Health Assessment (CHA)

                        Information about telehealth, virtual clinic and urgent
     Access to Care
                        care centers

                        A map of hospital locations, as well as our urgent care
     Your Network
                        and emergency facilities

                        A list of affordable and effective medications, to give you
   Pharmacy Benefits
                        the best drug plan possible

You will receive information about additional services throughout the year,
which will be color coded to match the categories above. Please keep this
booklet, add new pieces to it as you go and contact Customer Service if you
need any support. All contact information is listed on the inside front
pocket of this guidebook.

                                                                                                             Plan Information

Quick Tips Guide
How to Begin Enjoying Your Health Benefits
Please follow these four easy steps to get the most out of your new benefits.

          Step 1: Register at                                               Step 3: Review the Drug List
          myHFHP.org/login where you are able to                            (Formulary) to be sure your current
          print your ID card, see plan benefit details                      medications are covered.
          and more.
                                                                            Step 4: Schedule your annual
          Step 2: View the Provider                         $
                                                                gift card   Comprehensive Health Assessment (CHA)
          Directory to select a primary care physician                      by calling 321.615.9427 to discuss all your
          (PCP) and schedule an annual wellness visit.                      health concerns, medications and recent
                                                                            treatments — and earn a $50 gift card.

                       If you have any questions, please call Customer Service at 321.408.5289 (TTY/TDD relay:
                       1.800.955.8771) weekdays from 8 a.m. to 8 p.m. and Saturdays from 8 a.m. to noon.
                       From October 1 to March 31, we’re available seven days a week from 8 a.m. to 8 p.m.
2020 Medicare Advantage Member Guidebook - Health First
Plan Information

Online Member Self-Service Portal
The online portal provides easy access to your plan information, go to myHFHP.org, select “Log In” near the
top of the page, then click “Member.” Once you are logged in, click the tabs across the top of the screen to
navigate through the various options:
■ Find a participating doctor or facility
■ Check your plan benefits: copayments,
  coinsurance, deductibles and out-of-pocket
■ Find your drug costs
■ Request an ID card
■ Print a temporary ID card
■ Pay your premium
■ Check the status of a medical or
  pharmacy claim
■ Request reimbursement
■ Access Healthy Living resources and
  our approach for improving the quality
  of our health plan
■ View your Member Rights and Responsibilities, Limitations, Exclusions and Notice of Privacy Practices*

*Members can request a mailed copy by calling Customer Service
at 321.408.5289 (TTY/TDD relay: 1.800.955.8771).


Coming Soon
Health First Health Plans is launching CaféWell®, a personalized
health and wellness program that rewards you for completing
healthy actions. Enjoy free, unlimited access to CaféWell®
starting in 2020.

How will CaféWell® work?
■ Log in to the Health First Health Plans secure member portal.
■ Complete healthy programs to earn points.
■ Redeem points for gift cards in the Marketplace.

CaféWell® information coming soon!
2020 Medicare Advantage Member Guidebook - Health First
Access to Care

When You Need Care, We Have Options

             Primary Care                           Walk-in                Virtual              Urgent                 Emergency
  Nurse 24™ Physician (PCP)                          Clinic                 Clinic              Care*                    Room
 No cost to you         No cost to you                   $                     $$                   $$                     $$$$
      Speak with a        Prevent illnesses,       Same-day care        Convenient care      Same-day care for            Same-day care
    registered nurse     determine the likely      with a Primary        for urgent but     conditions that are         for serious or life-
  for care advice and    source of a problem       Care Physician        simple medical     not life-threatening,     threatening illnesses
    questions about      and coordinate care                            issues for those    but require prompt             and injuries
   medications and         with specialists                            out of the area or         treatment
    non-emergency                                                      unable to visit an                            Call 911 for critical
       symptoms                                                            urgent care                                    situations

 ■ Ailments and         ■ Annual wellness       ■ Cold and flu        ■   Allergies         ■ Sprains and           ■ Chest pains, heart
   conditions             visit                   symptoms            ■   Cold and flu        strains                 attack
 ■ Treatment            ■ Persistent            ■ Rashes              ■   Ear infection     ■ Severe sunburn        ■ Difficulty breathing
   options                symptoms              ■ Allergies           ■   Insect bites      ■ Flu and cold          ■ Broken bones
 ■ Prescription drugs   ■ Chronic conditions    ■ Upper               ■   Rashes              symptoms              ■ Heavy bleeding
                        ■ Medication              respiratory                               ■ Allergy and sinus     ■ Severe cuts or burns
                          management              infections                                  infections            ■ Stroke
                        ■ Allergies             ■ Urinary tract                             ■ Lacerations           ■ Confusion, fainting or
                        ■ Mild cold               infections                                ■ Severe vomiting         blacking out
                        ■ Ear pain              ■ Ear pain                                    or diarrhea           ■ Severe abdominal pain
                        ■ Insect bites or       ■ Vomiting or                               ■ Urinary tract         ■ Coughing or vomiting
                          rashes                  diarrhea            $0 Primary Care         infection (UTI)         blood
  Nurse24™ will         ■ Immunizations                                                     ■ Minor cuts,           ■ Changes in vision,
   not prescribe                                                      Urgent Care and         abscesses and           difficulty speaking
   treatment or                                     Cost share           Specialist           wound care            ■ Complications related
   medications.                                      applies           copays apply                                   to pregnancy

 No Appointment            Appointment          No Appointment            Appointment       No Appointment            No Appointment
      Needed                   Needed                 Needed                 Needed               Needed                   Needed
        Call             Visit myHFHP.org/              Visit                  Visit           To reduce your          Go to the nearest
  1.800.308.5848          directory or call       myHFHP.org/             myHFHP.org/       wait time, schedule        emergency facility,
   24 hours a day,      Customer Service to     directory or call          virtualclinic      an appointment         regardless of network
 seven days a week.     find a PCP near you.    Customer Service          to schedule an     at myHFHP.org/              participation.
                                                 to find a walk-in         appointment.      schedule or call
                                                  clinic near you.                           Customer Service
                                                                                            to find the nearest
                                                                                                urgent care.

                   NEW BENEFIT! Transportation Now Covered
                   Health First Health Plans is now offering 20 one-way trips of ground transportation per year,
                   to or from a health-related location at no cost to you. These services are covered in Brevard
                   and Indian River counties through the national curb-to-curb service, Lyft. To schedule a Lyft
                   ride, simply call Customer Service 24 hours in advance of your appointment at 321.408.5289.

Review your schedule of benefits for cost share
*To avoid coverage challenges, please ensure the facility bills the insurance company as an Urgent Care location.
2020 Medicare Advantage Member Guidebook - Health First
Your Network

           Network Map
           Health First Health Plans gives you access to more than 4,000 providers and 23 hospitals in nine counties
           across Central Florida. A list of providers, their locations and contact information can be found in your provider
           directory at myHFHP.org/directory.


                                                                            FLAGLER             9
                                                                                                                          Atlantic Ocean
   Health First Hospitals                                                                                 5
   1      Cape Canaveral Hospital
   2      Holmes Regional Medical Center
   3      Palm Bay Hospital
   4      Viera Hospital                                                              6
                                                                   LAKE                         VOLUSIA
   AdventHealth Hospitals
                                                                                      7                       95
   Volusia and Flagler
   5 AdventHealth   Daytona Beach
   6 AdventHealth DeLand
   7 AdventHealth Fish Memorial                                                           SEMINOLE
   8 AdventHealth New Smyrna Beach                                     11        10
   9 AdventHealth Palm Coast                                                       18
   Orange, Osceola and Seminole                                          14 17        13
   10 AdventHealth Altamonte Springs
   11 AdventHealth Apopka                                  27
   12 AdventHealth Celebration  301                                                                                          1
   13 AdventHealth
             PASCO East Orlando                                             16
   14 AdventHealth for Children                                                                                         4
   15 AdventHealth for Women                                                                        192

   16 AdventHealth Kissimmee                                                                                                  2
   17 AdventHealth Orlando                                                                 OSCEOLA
   18 AdventHealth Winter Park
  Hardee and Highland                                      POLK                                                                   3
  19 AdventHealth Lake Placid
  20 AdventHealth Sebring
                     HILLSBOROUGH                                                                                                        23
  21 AdventHealth Wauchula
                                                                                                                       INDIAN RIVER
   Other Network Hospitals                                                                                                                 22
   22 Cleveland Clinic Indian River                  21
      Hospital              MANATEE                                 20
   23 Sebastian River Medical Center                                                                      OKEECHOBEE
Gulf of                                                                     HIGHLANDS                                                 ST. LUCIE
Mexico                                                                        27

                          SARASOTA                   DE SOTO
2020 Medicare Advantage Member Guidebook - Health First
Your Network

As of November 2019, Health First Health Plans members have
access to services in:

              9 Counties Across Central Florida
                 1,136                                        2,695                                          712
                Primary Care                                    Specialists                         Outpatient Mental
                 Physicians                                                                          Health Providers

                                          Skilled Nursing
                                                                            Urgent Care
                                              Facilities                      Centers

Health First Health Plans customers have access to urgent care and
emergency facilities when traveling outside of the Health First
Health Plans Network Service Area:
Guidelines to know:
■ For non-emergencies, seek care through our Virtual Clinic at myHFHP.org/schedule or at the most
  convenient urgent care facility, and confirm with the facility that they will bill as an urgent care.
■ In an emergency or when an urgent care facility is not available, seek care at the closest emergency medical
  facility available.
■ Your normal copay applies.
■ If admitted during the visit, the emergency copay will be waived.
■ When traveling abroad, customers must request reimbursement for covered out-of-pocket medical expenses
  (up to the allowed amount, minus the standard copay).

                                           To verify benefits, and see if your plan has out-of-network benefits, please
                                           visit us at myHFHP.org or contact Customer Service at 321.408.5289.

Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in Health First Health Plans depends on contract renewal.
Y0089_MPINFO8147_C(01/20 ) | 2020 HFHP Medicare Member Benefit Book
2020 Medicare Advantage Member Guidebook - Health First
Pharmacy Benefits

Pharmacy Benefits
As a member of Health First Health Plans, you have access to broad prescription drug coverage and specialty
pharmacy benefits. Read about them here and let us help you make the most of your benefits. For more
details about your prescription drug plan, including copayments, drug plan limitations and exceptions, visit
myHFHP.org and select “Pharmacy.”

Pharmacy Network
Our network of 268 pharmacies spans nine counties in Central Florida. For the most current list of network
pharmacies, please see our Provider Directory at myHFHP.org/directory.

Free Mail-Order Delivery
To save you money and time, you can choose to have a 90-day supply of your medications delivered directly to
your home. There are two options to fill your prescriptions through the mail:
1) Health First Family Pharmacy at 321.434.7355 and select option 1 or visit HF.org/familypharmacy, or
2) MedVantx at 866.744.0621 or visit medvantxrx.com.

Save Money with 90-Day Prescriptions
As a Health First member, you have options to save money on your prescription drugs. Depending on your plan
and drug tier, you could save up to 33% of the cost when you fill a 90-day prescription. For questions, call our
Customer Service at 321.408.5289 (TTY/TDD relay: 1.800.955.8771).

TIP: Before going to the pharmacy to have your prescription filled, discuss generics
and more affordable alternatives to your current medications with your physician.

Save Money — Use Generic
Some facts about generic medications:
■ They typically cost 80 to 85% less than their brand-name equivalents.
■ They always contain the same active ingredient and therapeutic effectiveness as their brand-name
■ The Food and Drug Administration (FDA) is responsible for ensuring each generic medication matches its
  brand-name equivalent.
■ Approximately 50 percent of generic drugs are made by the same company that manufactures their brand-
  name equivalent.

Generics and brands have the same…                           But may be different in…
   Active                                                                                   Inactive
               Safety   Efficacy   Quality    Benefits         Size    Shape     Color                  Cost
 Ingredient                                                                               Ingredient

Call our licensed pharmacists at 321.434.4396 to learn about the generic versions of your current medications.
2020 Medicare Advantage Member Guidebook - Health First
Pharmacy Benefits

Pharmacist Recommendations
Medications to help maintain the health of your heart and kidneys, as well as those that control diabetes
and blood sugar levels, are extremely important to your wellness today and in the future. If you are currently
taking medications for one of those conditions, speak with your doctor or pharmacist to ensure you are on
the most effective and affordable option for you. The list below displays many of the most affordable and
effective options:

Blood Pressure Control                     Cholesterol Control and                       Diabetes and
and Kidney Protection                      Heart Health                                  Blood Sugar Control
                          Copay*                                       Copay*                                    Copay*
 Drug Name                 Retail           Drug Name                   Retail            Drug Name               Retail
                          30 Days                                      30 Days                                   30 Days
Benazepril                    $0            Atorvastatin                   $0            Glimepiride                 $0
Enalapril                     $0            Pravastatin                    $0            Glipizide                   $0
Irbesartan                    $0            Simvastatin                    $0            Metformin                   $0
Lisinopril                    $0            Lovastatin                     $0            Glyburide                   $0
Losartan                      $0            Rosuvastatin                   $0            Pioglitazone                $0
Valsartan                     $0            Ezetimibe                     $45            Nateglinide                 $0
Candesartan                   $0            Ezetimibe-Simvastatin         $45
Olmesartan                    $0
Telmisartan                   $0
Quinapril                     $0
Ramipril                      $0           *Copay quoted prior to entering the Donut Hole (explained below)

What is the CMS Medicare Donut Hole?
The donut begins after you and the health plan have paid a combined amount of
$4,020. At this time your cost share will increase to 25% of all drugs, unless your
plan offers additional coverage during this period.

We want to be the best prescription drug plan possible —
that’s why we’ve got tips on reducing your drug costs
during the Donut Hole.
1. Call us at 321.615.9426* to find out:                            2. Talk with your doctor to see if they can
    ■ If your Tier 2-4 medications qualify for a                        review generic or alternative options that might
      lower tier cost                                                   be less expensive.
    ■ If you qualify for Low Income Subsidy (LIS)                   3. Review your formulary at myHFHP.org to
    ■ If you can save on a 90-day mail-order supply                     see if any of your medications changed to Tier 6,
                                                                        meaning NO COST to you.

*(TTY/TDD relay: 1.800.955.8771) weekdays from 8 a.m. to 8 p.m. and Saturdays from 8 a.m. to noon. From October 1 to March 31,
we’re available seven days a week from 8 a.m. to 8 p.m.

 How to Read and Understand Your Personalized Health Report
 Your Personalized Health Report will be delivered to you twice annually. By keeping track of your unique health
 information, including a list of your needed healthcare screenings, you’ll be better prepared to discuss your current
 health status with your provider. Together, you will be able to develop the best healthcare plan possible.

            This section is removable. You can bring this card with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Talk to your primary care provider (PCP) to see if
            you to your office visits to keep your information current.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      you are up to date on all your preventive services.

                                                                                                                                                                                                                                                                                                                                                                  Tear off this Preventive Service Record and keep it in your wallet to help track your last screenings and when they should be repeated.
                                                                                                                                                                                                 Comprehensive Health Assessment (CHA)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Health Screening Schedule

                                                                                                                                                                                                                                                                        Cervical cancer screening (pap test)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Use this convenient record to keep track of the dates
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Because improving and maintaining your health is important, the schedule

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              We value you as a customer, and we want to
                                                                        Preventive screening lab tests

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               below is a recommended timeline for routine health screenings. It does

                                                                                                                                                                                                                                                                                                               Bone mineral density (DEXA)
                                                                                                                                                                                                                                         Colorectal cancer screening

                                                                                                                                                                                                                                                                                                                                             Preventive Service

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Health Report Inside
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              not replace the care of your doctor or guarantee insurance coverage. Your
     Use this section
                                                                                                         Pneumonia vaccination

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    help you maintain your health.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                physician may order other screening tests based on your unique risks.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Your Personalized
                                             Tetanus vaccination

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   of your health screenings.
     to keep track of
                                                                                                                                                                               Flu vaccination

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Preventive Service                       Age                       Frequency
                                                                                                                                           Physical exam
                             Vision exam

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Bone mineral density
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Women 65-85                Every 2 years
  completed services                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         screening (DEXA scan)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Cervical cancer screening
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               21-65                      Every 3 years*
    and/or upcoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          (Pap test)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Colonoscopy every 10 years,
      appointments.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Colorectal cancer screening       50-75
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Sigmoidoscopy every 5 years,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Cologuard every 3 years or fecal

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          immunochemical test (FIT) annually
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Dental checkup                    All                        Twice a year
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Depression screening              18+                        Regularly if at risk
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Flu vaccination                   6 months+                  Every year
                            Fold here first.                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Breast cancer screening           40-49                      Doctor recommendation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             (mammogram)                       50+                        Every 2 years

                                                                   Health problems

                                                                                                                       Primary doctor’s phone number

                                                                                                                                                              Primary doctor

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Physical examination

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     prevention information.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Health and wellness or

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Rockledge, FL 32955
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                6450 U.S. Highway 1
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             (weight, height, BMI, blood       All                        Every year
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             pressure, etc.)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Pneumonia vaccination                65+                     Doctor recommendation

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Preventive screening labs
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  18+                     Every year
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             (fasting glucose, cholesterol, etc.)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Shingles vaccination                 50+                     Once in lifetime
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Skin cancer screening                                        Doctor recommendation
                            Fold here next.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Tetanus vaccination                  18+                     Every 10 years
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  20+                     Every 1-2 years
                                                                         Medical Information

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Vision exam                          High risk of glaucoma   Every year
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Diabetic patients       Every year

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Please consult your physician for medical guidance and contact your
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             health plan for information about benefits.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            *Depending on HPV co-testing
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Health First Health Plans depends on contract renewal.

      An unchecked box
                                                                                                                                                                                                                                                                                                                          Health and Preventive Screenings Record

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Tear off this Medications Record and keep it in your wallet to help track your medications,
indicates you are due to
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                update medication changes when they occur and share with your healthcare providers.
                                                                                                                                                                                                                                                                                                                         Status as of                                                                                                                                                                                                                                                              Status as of
   complete the “Health
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Special Instructions
                                                                                                                                                                                                                                                                                                                                      Appointment Mark When                                                                                                                                                                                                                                                     Appointment Mark When
                                                                                                            Health Action                                                                                                                                                                                                 October 1,                                                                                                                                                                                                                              Health Action                     October 1,
                                                                                                                                                                                                                                                                                                                                      Date and Time Completed                                                                                                                                                                                                                                                   Date and Time Completed
                                                                                                                                                                                                                                                                                                                            2019                                                                                                                                                                                                                                                                      2019
  Action.” Contact your
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Take with food.
                                   Colorectal Cancer Screening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Diabetic A1C Blood Test
      PCP to coordinate.           There are several different tests to screen
                                   for colorectal cancer. Ask your healthcare                                                                                                                                                                                                                                                                   ®                                                                                                                                                             ®                ®
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Talk with your provider about this blood
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     test. Controlling your blood sugar reduces
                                   provider which test is best for you.                                                                                                                                                                                                                                                                                                                                                                                                                                                                              your chances of damage to your heart,

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     eyes, kidneys and blood vessels.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             of Day

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            7 pm
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            7 am

                                   Breast Cancer Screening
 You will see a checked            (Mammogram)
                                   A mammogram can detect breast cancer
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Diabetic Urine Test
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Talk with your provider about this urine
 box, which shows that             early and save lives. Schedule yours today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                       test. Detecting protein in the urine may
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            One tablet twice a day

                                   If you reside in Brevard County:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  indicate kidney damage.

  your “Health Action”             Call Health First Centralized Scheduling
                                   at 321.434.6100
                                                                                                                                                                                                                                                                                                                                                ˛                                                                                                                                                             ˛                ˛                     Annual Flu Vaccine
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Remember, flu vaccines save lives. Your
  has been completed.              If you reside in Indian River County:
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     annual vaccine is available just before flu

                                   Call Sebastian River Diagnostic Center at
                                   772.589.5000 or Vero Radiology Services                                                                                                                                                                                                                                                                                                                                                                                                                                                                           season at most retail pharmacies or at
                                   at 772.562.0163                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   your physician’s office.

                                   Bone Density Screening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Comprehensive Health
                                   (DEXA Scan)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Assessment (CHA)
                                   This quick and painless scan tells you and                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Receive a $50 gift card after completing
                                   your provider about the health of your                                                                                                                                                                                                                                                                                                                                                                                                                                                                            your annual CHA. Call 321.434.6712 to
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            High blood pressure

                                   bones, which can help you prevent falls                                                                                                                                                                                                                                                                                                                                                                                                                                                                           schedule your CHA.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Reason Taken

                                   and preserve your independence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Purpose or

    If you see “N/A” on            If you reside in Brevard County:
                                   Call Health First Centralized Scheduling
                                                                                                                                                                                                                                                                                                                                              N/A                                                                                                                                                             N/A             N/A                                 ® – Incomplete          ˛ – Complete         N/A – Not Applicable

     your health report,           at 321.434.6100
                                   If you reside in Indian River County:

   this “Health Action”            Call Sebastian River Diagnostic Center at
                                   772.589.5000 or Vero Radiology Services
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                For more information and ways to schedule
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                these exams, please visit myHFHP.org/screenings.
  may not apply to you.            at 772.562.0163
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Name of Medication

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Example: Vasotec 5 mg

                                   Diabetic Eye Exam
 Contact your PCP with             Diabetes can cause blindness. Call your                                                                                                                                                                                                                                                                                                                                                                                                                                                                                If you have any questions, call Customer Service
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Tear card off here.

                                   ophthalmologist or optometrist for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  at 321.408.5275*.
          any questions.           diabetic eye exam.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      *Available weekdays from 8 a.m. to 8 p.m. and Saturdays from 8 a.m. to noon. From
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     October 1 to March 31, weekdays from 8 a.m. to 8 p.m. TTY/TDD relay 1.800.955.8771.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   This section is removable. You can bring this card with you to your
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      office visits to keep your medication list current.

The Silver&Fit® Exercise and Healthy Aging Program:

Something for Everyone                                                                                                   ™

Improving your physical health is important.
The Silver&Fit® Exercise and Healthy Aging                                                     Get Started
Program gives members:                                                                         1 Go to SilverandFit.com.
 ■ No-cost access to a fitness center or select YMCA
                                                                                               2 Register to use the website.
 ■ Group classes made for older adults, where offered
 ■ The option to work out at home using up to two home fitness                                 3 Choose a fitness center or YMCA, or
                                                                                                   sign up for the Home Fitness program.
   kits per year (34 to choose from)
 ■ Healthy Aging materials four times a year (online or by mail)                               4 If you prefer, you can call toll-free
                                                                                                   1.888.797.7806 (TTY/TDD 711) 8 a.m.
 ■ A newsletter four times a year (online, by email or by mail)
                                                                                                   to 9 p.m. Eastern Time, Monday
 ■ The Silver&Fit Connected!™ program, a fun and easy way to                                       through Friday, to find a fitness center
   track exercise at a fitness center or through a wearable fitness                                or YMCA near you or to enroll in the
   device or app                                                                                   Home Fitness program.
 ■ Other web tools like a fitness center search and online classes

Comprehensive Health Assessment

                          Complete your health assessment in 2020,
                          and you’ll earn a $50 gift card.*
                          Health First Health Plans has partnered with your physician to offer you a thorough physical
                         exam by a physician or nurse practitioner.

In Our Office or In Your Home
You can choose to have your exam at a physician’s office or in the comfort of your own home. It takes about
one hour, with plenty of time to discuss all your health concerns, medications and recent treatments. This exam
is completely voluntary and will not affect your healthcare coverage in any way.
The Comprehensive Health Assessment and any health screenings you receive during the visit are
provided at no additional cost to you.

                       Call 321.615.9427 to schedule your appointment, Monday through Friday, 8 a.m. to 6 p.m.

*Health First Health Plans will mail your gift card to you after a completed visit. Please allow six to eight weeks for delivery. Members are only
eligible for one (1) assessment and one (1) gift card per calendar year.

Your Behavioral Health Program
Provided by Health First Health Plans and
Magellan Healthcare Services

Health First Health Plans and Magellan Healthcare Services teamed
together to provide member-focused behavioral health benefits that              Call 1.800.424.4347
focus on early intervention and prevention services to positively impact
                                                                                (TDD/TTY: 1.800.424.1694)
overall well-being.
                                                                                         at any time,
Our program offers:                                                                      day or night
■   Outpatient solutions
■   Welcome-home calls
■   Online tools and resources
■   Integrated medical and behavioral care
■   Ongoing support as needed

Online tools and resources
Members are given unique access to a member website where a variety
of tools and resources are available to help and assist members based on
their needs. With a number of different self-assessments, library articles,
resource guides and other information, members can learn about
different conditions and understand how to modify their daily living.

Visit MagellanAssist.com                                                       Health First is contracted with Magellan
                                                                              to provide behavioral health management
                                                                                       services to our members.
Plan Information

Financial Assistance Programs
Save as much as $144.60/per month or more on Part B Premiums in 2020.
As a valued member, we want to ensure you receive all the government and community benefits to which
you are entitled. We contract with My Advocate, a social service organization, to help our Medicare members
determine if they are eligible for various types of assistance and help them complete the proper applications:
■ Medicare Savings Programs — To help pay for Part B premiums, an average of $144.60 a month (or more
  depending on Part B Premium) in 2020, which amounts to $1,735.20 annually
■ Low Income Subsidy — To help pay for Part D prescription drug premiums and copays
■ Community Programs — To assist with daily needs like meals, utilities, transportation and more

                                For more information, call My Advocate at 1.866.743.5282 (TTY: 1.855.368.9643)
                                Monday through Friday from 9 a.m. to 6 p.m. or visit Trust.MyAdvocateHelps.com.

Identity Protection Services
As a Medicare Advantage member of Health First Health Plans, you have access to Experian IdentityWorksSM
Identity Protection Services at no cost to you.

Experian IdentityWorks                                                  How Experian Identity Restoration Works
Experian IdentityWorks offers more protection and                       If you become a victim of identity theft, a dedicated
the option to enroll at any time — also at no cost to                   Identity Restoration Specialist from Experian will act
you. Once you enroll in IdentityWorks, you will have                    as your guide and advocate from start to finish by
access to:                                                              initiating the dispute process, and help ensure that
■ Experian credit report at signup*                                     your identity returns to its pre-identity theft state***.
■ Credit monitoring
■ Internet surveillance                                                 If you have questions about protecting your identity
■ Identity restoration                                                  or if you suspect that your identity has been stolen:
■ Up to $1 million identity theft insurance**                           1 Call the Experian customer support team at
■ Lost wallet protection                                                    1.877.890.9332.
■ Child monitoring**                                                    2 Provide engagement number DB14463.
■ Experian IdentityWorks ExtendCARE™
Enrollment is required.
1 Visit the Experian IdentityWorks website to enroll:
2   Click “Get Started” and enter code: HFID
3   Complete the enrollment process.

* Offline members will be eligible to call for additional reports quarterly after enrolling.
**The Identity Theft Insurance is underwritten and administered by American Bankers Insurance Company of Florida, an Assurant
company. Please refer to the actual policies for terms, conditions, and exclusions of coverage. Coverage may not be available in all
***You may be asked to provide a limited power of attorney to facilitate any identity restoration related work on your behalf.
Nondiscrimination Notice
                                                Health First Health Plans complies with applicable Federal civil rights laws and does
                                                not discriminate on the basis of race, color, national origin, age, disability or sex.
                                                Health First Health Plans does not exclude people or treat them differently because
                                                of race, color, national origin, age, disability or sex.

Health First Health Plans:                                                 6450 US Highway 1, Rockledge, FL 32955, 321-434­
■ Provides free aids and services to people with disabilities              4521, 1-800-955-8771 (TTY), Fax: 321-434-4362,
  to communicate effectively with us, such as:                             CivilRightsCoordinator@HF.org. You can file a grievance
  ■ Qualified sign language interpreters                                   in person or by mail, fax or email. If you need help filing a
  ■ Written information in other formats (large print,                     grievance, our Civil Rights Coordinator is available to help
    accessible electronic formats)                                         you.
■ Provides free language services to people whose primary                  You can also file a civil rights complaint with the U.S.
  language is not English, such as:                                        Department of Health and Human Services, Office for Civil
  ■ Qualified interpreters                                                 Rights electronically through the Office for Civil Rights
  ■ Information written in other languages                                 Complaint Portal, available at https://ocrportal.hhs.gov/ocr/
If you need these services, please contact our Civil Rights                portal/lobby.jsf, or by mail or phone at: U.S. Department
Coordinator.                                                               of Health and Human Services, 200 Independence Avenue
If you believe that Health First Health Plans has failed to                SW., Room 509F, HHH Building, Washington, DC 20201,
provide these services or discriminated in another way on                  1-800-368-1019, 800-537-7697 (TDD).
the basis of race, color, national origin, age, disability or              Complaint forms are available at http://www.hhs.gov/ocr/
sex, you can file a grievance with: Civil Rights Coordinator,              office/file/index.html.

Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in Health First Health Plans depends on contract renewal.
Y0089_MPINFO7271_C (04/19)

English: ATTENTION: If you speak English, language                         Russian: ВНИМАНИЕ: Если вы говорите на русском языке,
assistance services, free of charge, are available to you.                 то вам доступны бесплатные услуги перевода. Звоните
Call 1-800-716-7737 (TTY: 1-800-955-8771).                                 1-800-716-7737 (телетайп: 1-800-955-8771).
Spanish: ATENCIÓN: si habla español, tiene a su disposición                Arabic:
servicios gratuitos de asistencia lingüística. Llame al                           ‫ فإن خدمات املساعدة اللغوية تتوافر لك‬،‫ إذا كنت تتحدث اذكر اللغة‬:‫ملحوظة‬
1-800-716-7737 (TTY: 1-800-955-8771).                                       .(1-800-955-8771 :‫ )رقم هاتف الصم والبكم‬1-800-716-7737 ‫ اتصل برقم‬.‫باملجان‬
French Creole: ATANSYON: Si w pale Kreyòl Ayisyen,                         Italian: ATTENZIONE: In caso la lingua parlata sia l’italiano,
gen sèvis èd pou lang ki disponib gratis pou ou. Rele                      sono disponibili servizi di assistenza linguistica gratuiti.
1-800-716-7737 (TTY: 1-800-955-8771).                                      Chiamare il numero 1-800-716-7737 (TTY: 1-800-955-8771).
Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ                  German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen
hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số                              Ihnen kostenlos sprachliche Hilfsdienstleistungen zur
1-800-716-7737 (TTY: 1-800-955-8771).                                      Verfügung. Rufnummer: 1-800-716-7737
Portuguese: ATENÇÃO: Se fala português, encontram-se                       (TTY: 1-800-955-8771).
disponíveis serviços linguísticos, grátis. Ligue para                      Korean: 주의: 한국어를 사용하시는 경우, 언어 지원
1-800-716-7737 (TTY: 1-800-955-8771).                                      서비스를 무료로 이용하실 수 있습니다. 1-800-716-7737
Chinese: 注意:如果您使用繁體中文,                     您可以免費獲得語言                       (TTY: 1-800-955-8771)번으로 전화해 주십시오.
援助服務。      請致電 1-800-716-7737                          。
                                    (TTY:1-800-955-8771)                   Polish: UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z
French: ATTENTION : Si vous parlez français, des services                  bezpłatnej pomocy językowej. Zadzwoń pod numer
d’aide linguistique vous sont proposés gratuitement.                       1-800-716-7737 (TTY: 1-800-955-8771).
Appelez le 1-800-716-7737 (ATS : 1-800-955-8771).                          Gujarati: સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલક
                                                                                                                              ્ ભાષા
                                                                           સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-800-716-7737
Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari                   (TTY: 1-800-955-8771).
kang gumamit ng mga serbisyo ng tulong sa wika nang
walang bayad. Tumawag sa 1-800-716-7737                                    Thai: เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทาง
(TTY: 1-800-955-8771).                                                     ภาษาได้ฟรี โทร 1-800-716-7737 (TTY: 1-800-955-8771).
Y0089_MPINFO6466 (08/17)
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